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General NPI Number Information
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NPI Number | 1740335603
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Entity Type | Organization
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Legal Business Name | DREXEL UNIVERSITY
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/09/2019
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Provider Practice Location Address
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Address Line | 219 N BROAD ST FL 9
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City | PHILADELPHIA
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State | PA
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Zip | 19107-1506
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Country | US
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Telephone | 215-762-2688
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 CHERRY ST SUITE 11511
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City | PHILA
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State | PA
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Zip | 19102-1321
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Country | US
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Telephone | 215-255-7822
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Fax | 215-255-7825
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JEFF STEENSON
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Credential |
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Telephone | 215-255-7766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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